Exam 1 Flashcards
3 important ramifications when defining a disorder: this colors the way we may interpret behavior
- insurance (reimbursement for treatment)
- legal responsibility for treatment
- disability
3 examples of past and present diagnoses that have been controversial:
- drapetomania (propensity of slaves to run away)
- childhood masturbation disorder
- homosexuality
why is there no single definition of psychological abnormality or normality?
most behaviors exist on a continuum (substance use, sleep, eating, etc.)
wakefield argues disorder as ____
“harmful dysfunction”
hybrid of “value judgment” (ex. harmful) and “biological disadvantage” (a failure of a mechanism to perform naturally)
harmful dysfunction
wakefield’s 5 approaches to defining abnormal behavior: “disorder as ____”
- pure value concept
- whatever professionals treat
- statistical deviance (intellectual disability)
- biological disadvantage (evolution)
- distress or suffering
judgment of desirability according to social norms and ideals
disorder defined as a pure value concept
problem with defining disorder as a pure value concept:
very subjective
2 problems with defining disorder as whatever professionals treat:
- clients come in for treatment for behaviors that are normal
- individuals do NOT come in when they are disordered
-can be statistically deviant on many traits and it is a positive attribute (ex. IQ, strength)
-even undesirable behaviors that are statistically deviant may not be a disorder (ex. being rude)
problem with defining disorder as a statistical deviance (intellectual disability)
- if behavior results in lower reproductive fitness
- if some mental mechanism is not performing the specific function it was designed to perform (ex. normal anxiety vs. pathological anxiety)
- when a mechanism fails to perform as it was designed AND it causes impairment
3 criteria for a disorder to be classified as a biological disadvantage
toward a definition of abnormal behavior:
breakdown in cognitive, emotional, or behavioral function within the individual (it comes from the inside, aka within)
psychological dysfunction
toward a definition of abnormal behavior:
difficulty performing appropriate and expected roles
-some disorders may emphasize one over the other (ex. antisocial personality disorder)
personal distress or disability (functional impairment)
toward a definition of abnormal behavior:
reaction to abnormal behavior is outside cultural norms
atypical or unexpected cultural response
widiger argues that two constructs are fundamental to the definition of mental disorder:
dyscontrol and maladaptively
“an impaired ability to direct or regulate ovolition, emotion, behavior, or cognition, or some other area, which often entails inability to resist impulses and leads to abnormal behaviors without significant provocation” (APA)
dyscontrol
“a condition in which biological traits or behavior patterns are detrimental, counterproductive, or otherwise interfere with optimal functioning in various domains, such as successful interaction with the environment and effectual coping with the challenges and stresses of daily life” (APA)
maladaptively
true or false: some argue that we will never have a perfect definition of a mental disorder
true
a widely accepted system that is used to classify psychological disorders and problems
DSM-5
DSM stands for:
diagnostic and statistical manual of mental disorders
the DSM-5 contains diagnostic criteria for behaviors that: (4)
- fit a pattern
- cause dysfunction or stress
- are present for a specified duration
- are based on protoypes
a typical or standard example of a disorder
prototype
a clinical description of abnormality begins with the ____
presenting problem (what is bringing the client/patient into treatment)
this description aims to distinguish clinically significant dysfunction from common human experience and to describe demographics, relevant symptoms, age of onset, and precipitating factors
clinical description